Publications by authors named "Vandana Pakhare"

Objective: This study functional endoscopic sinus surgery (FESS) is a surgical procedure requiring minimal bleeding to optimize the surgical field. This study aimed to evaluate the effectiveness of magnesium sulfate, lignocaine, and propofol in attenuating hemodynamic response. The primary objective of this study was to compare the efficacy of these agents in reducing hemodynamic response.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of combining intra-peritoneal dexamethasone with bupivacaine versus using bupivacaine alone for pain relief after laparoscopic cholecystectomy.
  • 84 patients were randomly assigned to receive either a mix of bupivacaine and dexamethasone or bupivacaine only, and pain levels were assessed using the visual analogue scale (VAS) and rescue analgesic consumption.
  • Results showed that the group receiving dexamethasone experienced significantly lower pain levels, used less rescue analgesic, and took longer to require their first dose of pain relief compared to the bupivacaine-only group.
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Background And Aims: Operation theater (OT) complex is an important area for a hospital as it needs expensive infrastructure, disposable, and reusable resources and a multidisciplinary highly qualified and efficient team, the metrics of which are key in generating revenue, and improved productivity. The efficient utilization of OT ensures maximum output in view of the investment of highly qualified doctors, equipment, and outcomes. Our study aimed to evaluate the utilization of OT functioning stepwise, reasons for delays, case cancellations, and areas of improvement if any.

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Background And Aim: The COVID pandemic necessitated the use of masks to reduce the propagation of coronavirus by airborne transmission. This research was conducted in healthy volunteers to assess the changes in noninvasive measurable physiological variables over 45 min at rest.

Methods: This was a prospective randomized controlled crossover trial.

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  • The study assessed the impact of two different pneumoperitoneum pressures (standard: 13-15 mmHg and low: 6-8 mmHg) on the internal jugular vein (IJV) cross-sectional area (CSA) during laparoscopic surgeries.
  • Results showed that the CSA of the IJV increased significantly after pneumoperitoneum in both pressure groups, with a larger percentage increase in the standard pressure group compared to the low pressure group.
  • The findings suggest that laparoscopic surgeries can be effectively performed at lower intra-abdominal pressures without compromising safety or surgical feasibility.
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Background: Acute postoperative pain is managed with parenteral and oral medications requiring skilled personnel for administration and vigilance. Previous studies have been done either with transdermal buprenorphine or diclofenac patch separately in mitigating postoperative pain.

Aims: The primary aim was to compare pain scores and rescue analgesia requirement.

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